Table 1

Organising for Quality model of challenges in implementing quality improvement initiatives

StructureOrganising, planning, coordination
InfrastructureSupportive physical and technological systems
CultureDeveloping a collective meaning, importance and significance around quality improvements
PoliticsAddressing and dealing with the politics of change
LearningEncouraging learning that supports ongoing improvement
MotivationEngaging and motivating people, linking improvement to key values